MovDisordV3, Main, Exploration, bibRecord, 002003

Two‐year follow‐up on the effect of unilateral subthalamic deep brain stimulation in highly asymmetric Parkinson's disease

Identifieur interne : 002003 ( Main/Exploration ); précédent : 002002; suivant : 002004

Two‐year follow‐up on the effect of unilateral subthalamic deep brain stimulation in highly asymmetric Parkinson's disease

Auteurs : Han-Joon Kim [Corée du Sud] ; Sun Ha Paek [Corée du Sud] ; Ji-Young Kim [Corée du Sud] ; Jee-Young Lee [Corée du Sud] ; Yong Hoon Lim [Corée du Sud] ; Dong Gyu Kim [Corée du Sud] ; Beom S. Jeon [Corée du Sud]

Source :

Movement Disorders [ 0885-3185 ] ; 2009-02-15.

RBID : ISTEX:F25D374B487DF0697C3B5F9EA3769D2C6B5B009D

Descripteurs français

Pascal (Inist)
- Asymétrie, Maladie de Parkinson, Pathologie du système nerveux, Stimulation cérébrale profonde.

English descriptors

KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Asymmetry, Cognition Disorders (diagnosis), Cognition Disorders (epidemiology), Combined Modality Therapy, Deep Brain Stimulation (methods), Deep brain stimulation, Drug Resistance, Female, Follow-Up Studies, Functional Laterality (physiology), Humans, Hypokinesia (diagnosis), Hypokinesia (epidemiology), Levodopa (therapeutic use), Male, Middle Aged, Nervous system diseases, Neuropsychological Tests, Parkinson Disease (physiopathology), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Postoperative Care, Posture, Preoperative Care, Questionnaires, Severity of Illness Index, Subthalamic Nucleus (physiopathology), Time Factors, Tremor (diagnosis), Tremor (epidemiology), asymmetry, deep brain stimulation, unilateral subthalamic stimulation.
MESH :
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- diagnosis : Cognition Disorders, Hypokinesia, Tremor.
- epidemiology : Cognition Disorders, Hypokinesia, Tremor.
- methods : Deep Brain Stimulation.
- physiology : Functional Laterality.
- physiopathology : Parkinson Disease, Subthalamic Nucleus.
- surgery : Parkinson Disease.
- therapy : Parkinson Disease.
- Aged, Combined Modality Therapy, Drug Resistance, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neuropsychological Tests, Postoperative Care, Posture, Preoperative Care, Questionnaires, Severity of Illness Index, Time Factors.

Abstract

Although bilateral subthalamic deep brain stimulation (STN DBS) provides greater relief from the symptoms of Parkinson's disease (PD) than unilateral STN DBS, it has been suggested that unilateral STN DBS may be a reasonable treatment option in selected patients, especially those with highly asymmetric PD. In previous studies on the effect of unilateral STN DBS, the asymmetry of PD symptoms was not prominent and the mean follow‐up durations were only 3 to 12 months. In this study, we report our findings in a series of 8 patients with highly asymmetric PD who were treated with unilateral STN DBS and were followed for 24 months. Serial changes in Unified Parkinson's Disease Rating Scale (UPDRS) motor score and subscores in the ipsilateral, contralateral, and axial body parts were analyzed. Unilateral STN DBS improved the UPDRS motor score and the contralateral subscore in the on‐medication state for 5 nonfluctuating patients and in the off‐medication state for 3 fluctuating patients. However, the ipsilateral subscore progressively worsened and reversed asymmetry became difficult to manage, which led to compromised medication and stimulator adjustment. At 24 months, all the patients were considering the second‐side surgery. Our results suggest that bilateral STN DBS should be considered even in highly asymmetric PD. © 2008 Movement Disorder Society

Url:

https://api.istex.fr/document/F25D374B487DF0697C3B5F9EA3769D2C6B5B009D/fulltext/pdf

DOI: 10.1002/mds.22211

Affiliations:

Le document en format XML

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<term>Asymmetry</term>
<term>Cognition Disorders (diagnosis)</term>
<term>Cognition Disorders (epidemiology)</term>
<term>Combined Modality Therapy</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Deep brain stimulation</term>
<term>Drug Resistance</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Functional Laterality (physiology)</term>
<term>Humans</term>
<term>Hypokinesia (diagnosis)</term>
<term>Hypokinesia (epidemiology)</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nervous system diseases</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson Disease (therapy)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Postoperative Care</term>
<term>Posture</term>
<term>Preoperative Care</term>
<term>Questionnaires</term>
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<term>Tremor (epidemiology)</term>
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<term>deep brain stimulation</term>
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<term>Hypokinesia</term>
<term>Tremor</term>
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<front><div type="abstract" xml:lang="en">Although bilateral subthalamic deep brain stimulation (STN DBS) provides greater relief from the symptoms of Parkinson's disease (PD) than unilateral STN DBS, it has been suggested that unilateral STN DBS may be a reasonable treatment option in selected patients, especially those with highly asymmetric PD. In previous studies on the effect of unilateral STN DBS, the asymmetry of PD symptoms was not prominent and the mean follow‐up durations were only 3 to 12 months. In this study, we report our findings in a series of 8 patients with highly asymmetric PD who were treated with unilateral STN DBS and were followed for 24 months. Serial changes in Unified Parkinson's Disease Rating Scale (UPDRS) motor score and subscores in the ipsilateral, contralateral, and axial body parts were analyzed. Unilateral STN DBS improved the UPDRS motor score and the contralateral subscore in the on‐medication state for 5 nonfluctuating patients and in the off‐medication state for 3 fluctuating patients. However, the ipsilateral subscore progressively worsened and reversed asymmetry became difficult to manage, which led to compromised medication and stimulator adjustment. At 24 months, all the patients were considering the second‐side surgery. Our results suggest that bilateral STN DBS should be considered even in highly asymmetric PD. © 2008 Movement Disorder Society</div>
</front>
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<name sortKey="Jeon, Beom S" sort="Jeon, Beom S" uniqKey="Jeon B" first="Beom S." last="Jeon">Beom S. Jeon</name>
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Movement Disorders (revue)

Two‐year follow‐up on the effect of unilateral subthalamic deep brain stimulation in highly asymmetric Parkinson's disease

Two‐year follow‐up on the effect of unilateral subthalamic deep brain stimulation in highly asymmetric Parkinson's disease

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.